Table 2.

Topics of discussion during interviews and focus groups

PHASETOPICS OF DISCUSSION DURING INTERVIEWS AND FOCUS GROUPS
1 (baseline interviews)
  • Suggested sources of evidence for planning

  • Perspectives on roles of PAs in primary care

  • Perspectives on needed characteristics and qualifications of PAs working in primary care

  • Desired effects of including PAs in primary care

  • Potential challenges and risks associated with introduction of PAs

  • Advice for implementing this initiative

  • Perspectives on the evaluation

2 (introduction of PAs at the 3 initial sites)
  • Initial expectations of PA introduction

  • What has worked well with implementing this initiative

  • Facilitators of positive introduction

  • Challenges to implementation of this initiative

  • Strategies to avoid and address challenges

  • Changes resulting from PA introduction

  • Advice for future implementation of this initiative

3 (introduction of PAs at the 3 remaining evaluation sites)Previous evaluation participants: health professionals and steering committee members
  • Response to evaluation findings to date

  • Extent to which initial challenges have been addressed

  • Identification of any new challenges

  • Additional or ongoing supports that are needed

  • How the PA role changed or evolved

  • Overall evaluation of experience with the implementation of this initiative (probe specifics)

  • Overall evaluation of the effects of introducing PAs (probe specifics)

  • Unique aspects of the PA role

  • Advice for Manitoba Health, Healthy Living and Seniors; health regions; and the University of Manitoba


New evaluation participants: health professionals and steering committee members
  • Initial expectations

  • What is working well in implementation

  • Challenges to implementation of this initiative

  • Supports needed

  • Changes experienced as a result of PA role at site

  • Overall evaluation of the experience with implementation of this initiative (probe specifics)

  • Overall evaluation of the effects of introducing PAs (probe specifics)

  • Unique aspects of PA role

  • Advice for Manitoba Health, Healthy Living and Seniors; health regions; and the University of Manitoba

Patient interviews
  • Satisfaction with care at the clinic or site

  • Satisfaction with physician care

  • Satisfaction with PA care

  • How the experience has changed with introduction of PAs to the site

  • Specific probes (varied by hospital or clinic focus): effects on access, care, time, etc

  • Advice on PA use for Manitoba Health, Healthy Living and Seniors and regions

  • PA—physician assistant.